Affordable Healthcare Act
Trump’s First Legislative Effort Fails as G.O.P. Pulls Bill to Repeal Obamacare
House Republican leaders pulled legislation to repeal the Affordable Care Act from the House floor before it could be defeated, a huge loss for President Trump.
By Robert Pear, Julie Hirschfeld Davis and Jennifer Steinhauer

WASHINGTON — House Republican leaders, facing a revolt among conservatives and moderates in their ranks, pulled legislation to repeal the Affordable Care Act from consideration on the House floor Friday afternoon in a spectacular defeat for President Trump on the first legislative showdown of his presidency.

House Speaker Paul D. Ryan conceded, “We’re going to be living with Obamacare for the foreseeable future.”

Mr. Ryan had rushed to the White House shortly after noon to tell Mr. Trump he did not have the votes for a repeal bill that had been promised for seven years — since the day President Barack Obama signed his landmark health care act into law.



Two weeks before he leaves office, President Obama sits down to talk about the uncertain future of Obamacare

With Republicans set to control both the presidency and Congress in just two weeks, the future of President Barack Obama’s signature domestic achievement — the Affordable Care Act — has been thrown into question, with the law’s repeal looking like a real possibility.

So, at 11 am Eastern today, Vox’s Ezra Klein and Sarah Kliff will sit down with President Obama to talk Obamacare. They’ll ask the president about what he thinks the law has achieved so far, where it’s fallen short, what lessons he’s learned, and the challenges Republicans will face as they make their own attempt to reform the health care system.

But Ezra and Sarah won’t be alone. They’ll be interviewing the president in front of an audience drawn from Vox’s Facebook community for Obamacare enrollees. These enrollees have shared their experiences with the health law — both good and bad — to help us better understand what’s at stake here.

The policy stakes of this moment in Washington, as Republicans push to repeal Obamacare, are incredibly high. Consequences of decisions made in the next few weeks and months could shape millions of Americans’ lives.

Naturally, Vox will be covering all of the latest developments on the political and policymaking fronts — check out our explainers on the GOP’s “repeal and delay strategy” and the Senate’s budget reconciliation process. But we’ll also zero in on how these changes could play out in people’s lives, as Sarah did in her recent reporting about Obamacare enrollees in Kentucky.

When Ezra and Sarah sit down with President Obama this morning, they’ll keep both of those focuses in mind — getting his view on what’s happened so far, and what may be coming next.

“I’ve put forth a number of ideas for how to improve the Affordable Care Act. Now Republicans in Congress want to repeal the whole thing and start from scratch—but trying to undo some of it could undo all of it. All those consumer protections—whether you get your health insurance from Obamacare, or Medicare, or Medicaid, or on the job—could go right out the window. So any partisan talk you hear about repealing or replacing it should be judged by whether they keep all those improvements that benefit you and your family right now.

One new study shows that if Congress repeals Obamacare as they’ve proposed, nearly 30 million Americans would lose their coverage. Four in five of them would come from working families. More than nine million Americans who would receive tax credits to keep insurance affordable would no longer receive that help. That is unacceptable.

We can work together to make the system even better—and one of the best ways to do that is make sure that you’re in it.” —President Obama. Sign up on by this Thursday, for health insurance starting January 1st.

Seven years ago…

Then-President Barack Obama signed the Affordable Care Act into law on March 23, 2010.

“Today, I’m signing this reform bill into law on behalf of my mother, who argued with insurance companies even as she battled cancer in her final days,” Obama said.

Then-Vice President Joe Biden proclaimed it a big (insert expletive here) deal — near microphones, of course. (Photo: Win McNamee, Getty)

3 Letters That Explain Why President Obama Is Signing the Cures Act

Today, President Obama signed into law the 21st Century Cures Act, bipartisan legislation that will go a long way toward bringing about the medical breakthroughs we need to meet some of the biggest health challenges facing Americans today. No matter what corner of the country you live in, you or someone in your life has been touched by cancer, the opioid epidemic, devastating illnesses or serious mental health issues. The Cures Act makes significant investments in innovative technologies and research that could find a cure for Alzheimer’s, end cancer as we know it, and help those who are seeking treatment for opioid addiction.

Read these three letters to learn why President Obama is so committed to investing in the future of health in America.


Hello Mr. President, my name is Eugene Ammon. I am from Columbus Ohio. I am sending this message in regards to the growing concern in this country about addiction especially the growing number of people who die each year because of this. I personally lost my mother 18 months ago to a heroin overdose and will most likely be attending my sisters funeral, a mother of 3, by the years end as she is also an addict and has been diagnosed with heart problems and Hep C. Both i assume due to her addiction and her life style that has led her to being arrested for soliciting more times than i can count.

My concern is that this has opened my eyes as to how only those with an abundance of resources have steady and consistent access to the treatment necessary to actually treat themselves. My sister was recently released out into the world, again, without anywhere to go as waiting lists for facilities combined with over crowding in the jail system meant she would be put in a position no one could possibly succeed in.

There are facilities available but they need you to be insured. To be blunt but even with the expanded access to health insurance this is not something a prostitute with a heroin problem is walking around with.

Let me be clear that her decisions are hers and hers alone. They were my mothers decisions. However I cant help but wonder what kind of difference it would make if one could have access to this kind of help the moment they wanted it. I feel there are enough resources to make this a reality, I also think this would be cheaper over the long run than the countless unpaid ER visits that are occurring everyday from things like overdoses and infections.

Its too late for my family. Its too late for me. Its not too late for countless others.

I don’t know what they policy answers are. I as an average american can only reach out to those who might with what i see as a problem and hope someone notices or cares. I do know this is health crisis not just a criminal one and i hope for a policy approach sooner rather than later that will deal with this as such.

If you or anyone happens to read this i thank you for your time.

More Americans now die every year from drug overdoses than in motor vehicle crashes, and the majority involve opioids. The Cures Act invests $1 billion dollars to combat the heroin and prescription opioid epidemic, as the President’s called for in his budget. The Administration is committed to ensuring that these funds are disbursed quickly and effectively starting in early 2017.


Dear President Obama and Vice President Biden,

My name is Kathyrn Green and I’m a mother of a 14 month old daughter, a high school teacher in Los Angeles, and a wife of a husband who is battling brain cancer. While this is the first time I’m writing to offer my deepest condolences for the loss of the Vice President’s son, his family was in my prayers upon hearing the news, and will continue to be. I read in the news this morning that the Vice President was visiting the Fred Hutchinson Research Center on Monday, and I wanted to thank him for continuing to bring this terrible disease into the spotlight, and thank you both for being that ever-hopeful light in finding a way to manage cancer with your Moonshot initiative. I sat with my daughter on my lap and listened to the State of the Union address, and at one years old, I was delighted that she clapped along as the audience applauded. There are so many problems and issues that need healing in this country, and I’m deeply grateful that both President Obama and Vice President Biden are standing with the patients, families, and communities who have been touched by this disease. I will continue to follow your administrations lead and support you in your endeavors, however they manifest over the next few months and years. It is with the most sincereity and humbleness that I ask for your office to continue supporting the institutes, scientists, and resarch centers, who will, no doubt. be the harbinger of a bright future in a diagnosis which sees only dark clouds ahead. Thank you again for all of the work you have done, and will continue to do. I will be cheering from the sidelines, and envisioning better days to come.


Kathryn Green

In his last State of the Union address, President Obama asked Vice President Joe Biden to be at the head of “mission control” in a new moonshot effort to end cancer as we know it. The Cancer Moonshot’s ultimate goal is to make a decade’s worth of advances in cancer prevention, diagnosis, and treatment, in five years. The Cures Act invests $1.8 billion in this initiative – important funding that will support investment in promising new therapies like cancer immunotherapy, new prevention tools, cancer vaccine development, novel early detection tools, and pediatric cancer interventions.  


Michelle McRee first wrote the President in December of 2015 in frustration over her 15-year-old grandaughter’s inability to receive the mental health services she needed. She questioned whether the health care law and the U.S. health care system would ever be able to address her daughters needs: “I am sick and I am disgusted with knowing that in a few weeks my grandchild will be coming home with another ‘band-aid’ to treat her disorders,” she wrote. “I live in fear of the day that my daughter will tell me that my grandchild has taken her own life, due to a mental health disorder that she can receive only minimal treatment for.”

The President responded to let her know he was listening and directed his team to help advise her on the best way to find support. This is her letter in response:

Dear Mr. President,

I wanted to take a moment to thank you for listening. Your administration’s response and assistance, at your behalf, has shown us how agencies can work together to help families such as ours. When I first wrote to you last fall, about my grandchild’s situation and our frustrations in getting the recommended care for her, I did so not just out of frustration but out of bitter anger as well. Since then I have learned a lot. I learned that the resources were already there and had been for quite some time. While it is true that finding these resources is more difficult than it should be, it is up to us parents and guardians to be proactive for our children from the very beginning, not after the fifth hospitalization and out of bitter frustration.

I blamed you and I blamed your healthcare policy for our struggles and i have since learned that wasn’t fair. While I am not a member of your political party (no, I didn’t vote for you) and have often been critical of this new healthcare policy, I am forever grateful to you sir, for taking the time to listen, to help, and to make my granchild’s day when she read your letter.

Since becoming my grandchild’s caregiver, and during being the primary caregiver for my parents before their deaths these past couple years, I have lost a lot. I have had to make the choice to give up a job (twice now), I am losing my car due to being financially unable to afford it, and we may have to move soon. Unfortunately. those choices have to be made because our system, both state and federal, does have many gaps. But they were choices that I made fully aware and the only thing that i have lost are just that … “things”, and can be replaced. I cannot replace the time I had with my parents, nor the joy in seeing my grandchild progress daily in learning to cope in healthy ways with her disorders whil still remaining here at home. I cannot replace the gratitude of having one of the best mental health support teams that I have ever had the honor of knowing. And I cannot replace the humbling realization that we can, and are often, wrong in where we place blame. That my government didn’t fail my grandchild. My goverment stepped in and provided the professional support for us to help my grandchild.

Again, I thank you President Obama for what you have done for my family. I wish you and your family many happy years.


Michelle R. McRee

The Cures Act includes bipartisan mental health provisions, including improved coordination between primary care and behavioral health services, reauthorization of important programs focused on suicide prevention and other prevention services, and mental health and substance use disorder parity provisions that build on the work of the President’s Mental Health and Substance Use Disorder Parity Task Force.

The Cures Act also makes a significant investment of nearly $3 billion to continue the President’s signature biomedical research initiatives – the BRAIN and Precision Medicine Initiatives – over the next decade to tackle diseases like Alzheimer’s and create new research models to find cures and better target treatments.

Read what that Precision Medicine Initiative has meant in another letter writer’s life here. Then dig deeper into the medical possibilities and hope that these initiatives – and support from the Cures Act – can deliver in the near future.